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Arlington, VA
A 28-year-old female asked:

28yo fem w/ depression, anxiety. zoloft for ~10 yrs, 50mg then 75. added welbutrin. zoloft quit helping, tried lexapro (escitalopram). big weight gain. rec new drug?

3 doctor answers4 doctors weighed in
Dr. Laura Wuarin
Psychiatry 24 years experience
Antidepressants best: Another antidepressant, possibly snri like Effexor (venlafaxine) may be more helpful at this time. Add ons such as gaba- calm and natural anxiety aids can help. They do cause weight gain usually. Therapy is always an important treatment modality for depression and anxiety, don't think it is not helpful!
Dr. Linda Callaghan
Addiction Medicine 53 years experience
See ur psychiatrist.: Your zoloft dose is modest. Have you tried increasing the dose before adding wellbutrin (bupropion)? What are the doses of wellbutrin (bupropion) and lexapro? If you are concerned about weight gain and if wellbutrin (bupropion) works, ditch zoloft and Lexapro but the dose of wellbutrin (bupropion) has to be adequate for it to work. Discuss this with your psychiatrist.
Dr. Judith Tellerman
Clinical Psychology 42 years experience
DEPRESSION: It is important to find the correct combination of medications with your Psychiatrist. But medications alone are not sufficient because they do not teach you coping mechanisms for stress. Psychotherapy with a Clinical Psychologist can help you find ways to handle stress that will help your medications to work better. It is time well well-spent to invest in well-being.
Dr. Judith Tellerman
Clinical Psychology 42 years experience
Provided original answer
It is acceptable to obtain a second opinion from a Psychiatrist about your medications.
Oct 13, 2019

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Last updated Oct 13, 2019

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